| NPI | 1194458182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX BP10091891) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL L.5748R) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2025-06-18 |